Provider Demographics
NPI:1578680104
Name:FREED, KAREN PHILLIPS (LCSW-C,BCD)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:PHILLIPS
Last Name:FREED
Suffix:
Gender:F
Credentials:LCSW-C,BCD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12007 WHIPPOORWILL LN
Mailing Address - Street 2:
Mailing Address - City:NORTH BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20852-4443
Mailing Address - Country:US
Mailing Address - Phone:301-816-0978
Mailing Address - Fax:301-816-1148
Practice Address - Street 1:12007 WHIPPOORWILL LN
Practice Address - Street 2:
Practice Address - City:NORTH BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20852-4443
Practice Address - Country:US
Practice Address - Phone:301-816-0978
Practice Address - Fax:301-816-1148
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD022051041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical